Provider Demographics
NPI:1306125430
Name:KLINKER, DENISE (PHARMD/MBA)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:KLINKER
Suffix:
Gender:F
Credentials:PHARMD/MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 NW 40TH TER
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3500
Mailing Address - Country:US
Mailing Address - Phone:352-375-1999
Mailing Address - Fax:
Practice Address - Street 1:2205 NW 40TH TER
Practice Address - Street 2:SUITE B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3500
Practice Address - Country:US
Practice Address - Phone:352-375-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-07
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS376111835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric